| NPI | 1760934103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9407390) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9407390) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9407390) | |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2024-01-24 |